Postoperative Small Bowel Obstruction Associated with Use of Hemostatic Agents

Christopher D. Hobday, Michael R. Milam, Rebecca A. Milam, Elizabeth Euscher, Jubilee Brown

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

A case of early postoperative small bowel obstruction (SBO) after intraoperative use of hemostatic agents during laparoscopic staging for endometrial cancer is reported. A 46-year-old woman underwent a laparoscopic staging procedure for endometrial cancer during which hemostatic agents were used in the management of an iatrogenic injury to the inferior vena cava. The patient returned on postoperative day 6 with SBO and was taken to the operating department. She required a small bowel resection in the specific area where the hemostatic agents were used. Pathology showed extensive fibrotic changes caused by a foreign material that was suggestive of a thrombin-related product. Use of hemostatic agents should be considered as a cause in the differential diagnosis of patients with early postoperative SBO.

Original languageEnglish (US)
Pages (from-to)224-226
Number of pages3
JournalJournal of Minimally Invasive Gynecology
Volume16
Issue number2
DOIs
StatePublished - Mar 2009

Keywords

  • Bowel obstruction
  • Hemostatic agents

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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